Kellie Ann Northam, CNM, NP - Nurse Practitioner in Nampa, ID

Kellie Ann Northam, CNM, NP is a Nurse Practitioner - Psychiatric/mental Health based in Nampa, Idaho. Kellie Ann Northam is licensed to practice in Idaho (license number 61450) and her current practice location is 116 18th Ave S, Nampa, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 639-2700.

NPI number for Kellie Ann Northam is 1053650010 and her current mailing address is 116 18th Ave S, Nampa, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053650010.

Contact Information

Kellie Ann Northam, CNM, NP
116 18th Ave S,
Nampa, ID 83651-4841
(208) 639-2700
(208) 639-2736

Map and Direction




Provider's Profile

Full NameKellie Ann Northam
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location116 18th Ave S, Nampa, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053650010
  • Provider Enumeration Date: 02/11/2013
  • Last Update Date: 09/30/2024

Medical Identifiers

Medical identifiers for Kellie Ann Northam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053650010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife CNM81-A (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 61450 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Ann Northam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Ann Northam, CNM, NP
116 18th Ave S,
Nampa, ID 83651-4841

Ph: (208) 639-2700
Kellie Ann Northam, CNM, NP
116 18th Ave S,
Nampa, ID 83651-4841

Ph: (208) 639-2700

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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